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  5. PEDIATRIC MEDICAL SERVICES OF FLORIDA, INC.

PEDIATRIC MEDICAL SERVICES OF FLORIDA, INC.

Company Details

Entity Name: PEDIATRIC MEDICAL SERVICES OF FLORIDA, INC.
Jurisdiction: FLORIDA
Filing Type: Domestic Non-Profit
Status: Active
Date Filed: 15 Mar 2011 (14 years ago)
Last Event: AMENDMENT
Event Date Filed: 12 Oct 2015 (9 years ago)
Document Number: N11000002694
FEI/EIN Number 453584225
Address: 10140 Centurion Parkway North, Attn: ADMINISTRATION 3RD FLOOR, Jacksonville, FL, 32256, US
Mail Address: 10140 Centurion Parkway North, Attn: ADMINISTRATION 3RD FLOOR, Jacksonville, FL, 32256, US
ZIP code: 32256
County: Duval
Place of Formation: FLORIDA

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
PEDIATRIC MEDICAL SERVICES OF FLORIDA, INC 401(K) PLAN 2015 453584225 2016-10-12 PEDIATRIC MEDICAL SERVICES OF FLORIDA, INC. 83
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2012-07-01
Business code 621111
Sponsor’s telephone number 9046974100
Plan sponsor’s address 49145 NARCOOSSEE ROAD, SUITE A203, ORLANDO, FL, 32827

Signature of
Role Plan administrator
Date 2016-10-12
Name of individual signing LYNN MOODY
Valid signature Filed with authorized/valid electronic signature
PEDIATRIC MEDICAL SERVICES OF FLORIDA, INC 401(K) PLAN 2014 453584225 2015-10-09 PEDIATRIC MEDICAL SERVICES OF FLORIDA, INC. 65
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2012-07-01
Business code 621111
Sponsor’s telephone number 9046974100
Plan sponsor’s address 4901 VINELAND ROAD SUITE 220, ORLANDO, FL, 32811

Signature of
Role Plan administrator
Date 2015-10-09
Name of individual signing LYNN MOODY
Valid signature Filed with authorized/valid electronic signature
PEDIATRIC MEDICAL SERVICES OF FLORIDA, INC 401(K) PLAN 2013 453584225 2014-09-15 PEDIATRIC MEDICAL SERVICES OF FLORIDA, INC. 31
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2012-07-01
Business code 621111
Sponsor’s telephone number 9046974100
Plan sponsor’s address 4901 VINELAND ROAD SUITE 220, ORLANDO, FL, 32811

Signature of
Role Plan administrator
Date 2014-09-15
Name of individual signing LYNN MOODY
Valid signature Filed with authorized/valid electronic signature
PEDIATRIC MEDICAL SERVICES OF FLORIDA, INC 401(K) PLAN 2012 453584225 2013-10-11 PEDIATRIC MEDICAL SERVICES OF FLORIDA, INC. 12
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2012-07-01
Business code 621111
Sponsor’s telephone number 9046974100
Plan sponsor’s address 4901 VINELAND ROAD SUITE 220, ORLANDO, FL, 32811

Signature of
Role Plan administrator
Date 2013-10-11
Name of individual signing LYNN MOODY
Valid signature Filed with authorized/valid electronic signature
PEDIATRIC MEDICAL SERVICES OF FLORIDA, INC 401(K) PLAN 2012 453584225 2013-10-11 PEDIATRIC MEDICAL SERVICES OF FLORIDA, INC. 12
Three-digit plan number (PN) 001
Effective date of plan 2012-06-24
Business code 621111
Sponsor’s telephone number 9046974100
Plan sponsor’s address 4901 VINELAND ROAD SUITE 220, ORLANDO, FL, 32811

Signature of
Role Plan administrator
Date 2013-10-11
Name of individual signing LYNN MOODY
Valid signature Filed with authorized/valid electronic signature

Agent

Name Role Address
CT CORPROATION SYSTEM Agent 1200 S PINE ISLAND RD, PLANTATION, FL, 33324

President

Name Role Address
MCGILL MARTHA President 10140 CENTURION PARKWAY NORTH, JACKSONVILLE, FL, 32256

Secretary

Name Role Address
Bissett Carrie Esq. Secretary 6535 Nemours Parkway, Orlando, FL, 32827

Events

Event Type Filed Date Value Description
CHANGE OF PRINCIPAL ADDRESS 2020-01-17 10140 Centurion Parkway North, Attn: ADMINISTRATION 3RD FLOOR, Jacksonville, FL 32256 No data
CHANGE OF MAILING ADDRESS 2020-01-17 10140 Centurion Parkway North, Attn: ADMINISTRATION 3RD FLOOR, Jacksonville, FL 32256 No data
REGISTERED AGENT NAME CHANGED 2020-01-17 CT CORPROATION SYSTEM No data
REGISTERED AGENT ADDRESS CHANGED 2020-01-17 1200 S PINE ISLAND RD, PLANTATION, FL 33324 No data
AMENDMENT 2015-10-12 No data No data

Documents

Name Date
ANNUAL REPORT 2024-02-12
ANNUAL REPORT 2023-04-14
ANNUAL REPORT 2022-01-03
ANNUAL REPORT 2021-01-12
ANNUAL REPORT 2020-02-11
Reg. Agent Change 2020-01-17
ANNUAL REPORT 2019-06-14
ANNUAL REPORT 2018-01-17
ANNUAL REPORT 2017-01-25
Reg. Agent Change 2016-08-29

Related by officers

CT CORPROATION SYSTEM

CORVISA LLC ASSUREDPARTNERS GULF COAST INSURANCE AGENCY, LLC DUKE OF BEDFORD SERVICE GROUP, LLC ANCIENT BRANDS, LLC INSUGUARD INC. LARGAY WAY L.L.C. THOUGHT BYTE, INC. LOCUS AGRICULTURAL SOLUTIONS, LLC JRM & ASSOCIATES OF FLORIDA, INC. WOWZA MEDIA SYSTEMS, LLC

Related by address

No related companies by address

Date of last update: 02 Jan 2025

Sources: Florida Department of State

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